PRIDEAUX-BLODGETT LLC (NPI# 1023431095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023431095 |
| Entity Type | Organization |
| Organization Name | PRIDEAUX-BLODGETT LLC |
| Other Organization Name | PACIFIC NORTHWEST PRIMARY CARE |
| Practice Address |
1818 S Union Ave Suite 2a Tacoma WA 98405-1953 |
| Practice Telephone | 2534737637 |
| Practice Fax Number | 2536718472 |
| Mailing Telephone | 2534737637 |
| Mailing Fax Number | 2536718472 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | BECKY BLODGETT (NP) |
| Authorized Official Telephone | 2534737637 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30003968 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Pacific Northwest Primary Care | Doing Business As Name - Organization |
| Street Address |
1818 S UNION AVE SUITE 2A |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814284 | Laural Janet Schaberg | Nurse Practitioner | 1818 S Union Ave, Suite 2a, Tacoma, WA 98405-1953 | 2005-10-12 |
| 1821453424 | Jennifer M Coates, Pllc | Clinic/Center | 1818 S Union Ave, Tacoma, WA 98405-1953 | 2015-12-23 |
| 1700145869 | Copper Creek Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1818 S Union Ave, Suite 2b, Tacoma, WA 98405-1953 | 2012-05-10 |
| 1750659462 | Jennifer M. Coates | Nurse Practitioner | 1818 S Union Ave, Tacoma, WA 98405-1953 | 2011-12-08 |
| 1558683797 | Stephanie Giaquinto | Audiologist | 1818 S Union Ave, Suite 2c, Tacoma, WA 98405-1953 | 2010-02-15 |
| 1336390061 | Marianne Hevly Norden Otr/l, Cht Pllc | Occupational Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2008-09-30 |
| 1619042280 | Erin M. Duffy | Occupational Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2006-11-21 |
| 1194770164 | Jaisimha K Iyengar | Pain Medicine | 1818 S Union Ave, Ste 1a, Tacoma, WA 98405-1953 | 2006-05-24 |
| 1003869132 | Marianne Hevly Norden | Occupational Therapist | 1818 S Union Ave, St 1b, Tacoma, WA 98405-1953 | 2006-05-18 |
| 1033176003 | Keith Michael Reagan | Physical Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1033755699 | Maryam Roya Jalili | Nurse Practitioner | 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1003467127 | Salome Odja Dockendorf | Nurse Practitioner | 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 | 2019-09-20 |
| 1962064469 | Latoya Tia Marie Veliz | Nurse Practitioner | 2621 170th Street Ct E, Tacoma, WA 98445-7328 | 2019-07-03 |
| 1033629571 | Matthew Alexander Watson | Nurse Practitioner | 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 | 2017-10-11 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1376081836 | Baby Nellie Tamayo | Nurse Practitioner | 10021 12th Ave S, Tacoma, WA 98444-4106 | 2017-02-05 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1508273590 | Mallory Louise Pursley | Nurse Practitioner | 1608 South J Street, 3rd Floor, Tacoma, WA 98405 | 2014-07-22 |
| 1932539137 | Nandi Brumidge | Nurse Practitioner | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | 2013-11-25 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on PRIDEAUX-BLODGETT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.